Rent in the amount of $__(2)__ was due on _____(3)_______ for
the period of ______(4)_________ for the premises which you are currently
occupying. Please bring your payment to the address shown below or telephone us
immediately. Please disregard this notice if you have already sent us your
remittance.

LANDLORD ______________(5)______________

Phone: _______(6)______________

NOTICE

The information in this document is designed to provide an
outline that you can follow when formulating business or personal plan. Due to
the variances of many local, city, county and state laws, we recommend that you
seek professional legal counseling before entering into any contract or
agreement.